PENNSYLVANIA Medical Assistance (Medicaid) Premium Assistance Medicaid Website:

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1 Information about Help in Paying for Your Health Insurance Coverage Medicaid and the Children s Health Insurance Program (CHIP) Offer Free or Low-Cost Health Coverage to Children and Families If you or your children are eligible for Medicaid or CHIP and you re eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children aren t eligible for Medicaid or CHIP, you won t be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit uses funds from its Medicaid program to help people who are eligible for employer-sponsored health coverage, but need assistance in paying their health premiums. (Pennsylvania does not have a premium assistance program for its Children s Health Insurance Program (CHIP), but offers CHIP coverage to eligible children on a free, low-cost, or at-cost basis.) If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or CHIP office to find out if premium assistance is available. If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office or dial KIDS NOW or to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan. Please note that most children of Commonwealth of Pennsylvania employees are not eligible for CHIP. Children of commonwealth employees who are eligible for health insurance through the Pennsylvania Employees Benefit Trust Fund (PEBTF) are not eligible for the Children s Health Insurance Program (CHIP) administered by the Pennsylvania Insurance Department s Office of CHIP. There are a few exceptions for children of: Employees in their first six months of employment Employees who are not eligible to receive PEBTF family full coverage benefits Part time employees who are eligible to purchase the PEBTF benefits, but meet the hardship exception (PEBTF premiums and cost-sharing are more than 5% of the family s income during the year the child would be enrolled in CHIP) Commonwealth employees who have children who are eligible for PEBTF coverage and are currently enrolled in CHIP should immediately contact the HR Service Center at to enroll their children in PEBTF, then immediately contact their CHIP insurer to end CHIP coverage. Employees of agencies not supported by the HR Service Center should contact their HR office. If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you aren t already enrolled. This is called a special enrollment opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, contact the Department of Labor at or call EBSA (3272).

2 Pennsylvania offers an assistance program only for Medical Assistance (Medicaid). For a list of the other states assistance information, please review the information below. PENNSYLVANIA Medical Assistance (Medicaid) Premium Assistance If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums. The following list of states is current as of January 31, Contact your State for more information on eligibility ALABAMA Medicaid Phone: ALASKA Medicaid COLORADO Medicaid Medicaid Medicaid Phone (In state): Medicaid Phone (Out of state): Phone (Outside of Anchorage): Phone (Anchorage): ARIZONA CHIP Phone (Outside of Maricopa County): Phone (Maricopa County): FLORIDA Medicaid Phone: GEORGIA Medicaid - Click on Programs, then Medicaid, then Health Insurance Premium Payment (HIPP) IDAHO Medicaid Medicaid PremiumAssistance/tabid/1510/Default.aspx Medicaid Phone: Phone: MONTANA Medicaid clientindex.shtml Phone:

3 INDIANA Medicaid Phone: NEBRASKA Medicaid Phone: IOWA Medicaid Phone: NEVADA Medicaid Medicaid Medicaid Phone: KANSAS Medicaid Phone: KENTUCKY Medicaid Phone: LOUISIANA Medicaid Phone: MAINE Medicaid Phone: TTY MASSACHUSETTS Medicaid and CHIP Phone: NEW HAMPSHIRE Medicaid pdf Phone: NEW JERSEY Medicaid and CHIP Medicaid dmahs/clients/medicaid/ Medicaid Phone: CHIP CHIP Phone: NEW YORK Medicaid Phone:

4 MINNESOTA Medicaid Click on Health Care, then Medical Assistance NORTH CAROLINA Medicaid Phone: Phone: MISSOURI Medicaid htm Phone: NORTH DAKOTA Medicaid dicaid/ Phone: OKLAHOMA Medicaid and CHIP Phone: OREGON Medicaid Phone: PENNSYLVANIA Medicaid Phone: UTAH Medicaid and CHIP Phone: VERMONT Medicaid Phone: VIRGINIA Medicaid and CHIP Medicaid Medicaid Phone: CHIP CHIP Phone: RHODE ISLAND Medicaid Phone: WASHINGTON Medicaid pages/index.aspx Phone: ext

5 SOUTH CAROLINA Medicaid WEST VIRGINIA Medicaid Phone: SOUTH DAKOTA - Medicaid Phone: TEXAS Medicaid Phone: Phone: , HMS Third Party Liability WISCONSIN Medicaid htm Phone: WYOMING Medicaid Phone: To see if any other states have added a premium assistance program since January 31, 2014, or for more information on special enrollment rights, contact either: U.S. Department of Labor U.S. Department of Health and Human Services Employee Benefits Security Administration Centers for Medicare & Medicaid Services EBSA (3272) , Menu Option 4, Ext OMB Control Number (expires 10/31/2016)